Provider Demographics
NPI:1225343601
Name:DAN, JENNIFER MARIE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARIE
Last Name:DAN
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Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:9500 GILMAN DR # 711
Mailing Address - Street 2:STEIN RESEARCH BUILDING, DIVISION OF INFECTIOUS DISEASE
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0711
Mailing Address - Country:US
Mailing Address - Phone:858-822-0333
Mailing Address - Fax:858-822-5362
Practice Address - Street 1:9500 GILMAN DR # 711
Practice Address - Street 2:STEIN RESEARCH BUILDING, DIVISION OF INFECTIOUS DISEASE
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0711
Practice Address - Country:US
Practice Address - Phone:858-822-0333
Practice Address - Fax:858-822-5362
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2019-04-01
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Provider Licenses
StateLicense IDTaxonomies
CA119193207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine